NCC Board Review NNP-BC Exam Questions And
Correct Answers
Barlow maneuver- ANSWER newborn hip evaluation-adduction of hip-examines for
congenital dislocation, dislocates head of femur
Fractional Excretion of Sodium (FENa)- ANSWER (urine Na * serum Cr) / (serum Na *
urine Cr) * 100
endocardial cushion defect- ANSWER Anomaly in the walls between all four chambers
of the heart. This anomaly is associated with Down syndrome. Separates atria and
ventricles
Tetralogy of Fallot - ANSWER congenital malformation involving four (tetra-) distinct
heart defects:
Overriding aorta
VSD
Pulmonary stenosis
RV hypertrophy
**Cyanosis depends on degree of PS
5 T's of Cyanotic Heart Disease - ANSWER TOF (VSD, pulmonic stenosis, overriding
aorta, R. Ventricle hypertrophy)
WBC count - ANSWER 5,000-10,000
ANC - ANSWER 1500-8000
<1500- neutropenic
,Amphotericin B - ANSWER Antifungal for candida sepsis
Flucystosine - ANSWER Analog of the nucleotide cytosine
May be used to treat certain cutaneous mycoses
Usually used in combination with amphotericin B for CNS infection.
Fanconi anemia - ANSWER FANCA, B, C, D2, E, F, G Mostly Ar but some X-linked
short stature, abnl pigmentation,, AML, tumors of head and neck, radial polydactyly
Cafe au lait spots
oxyhemoglobin dissociation curve - ANSWER Relationship between available oxygen
and amount of oxygen carried by hemoglobin.
Left: fetal HgB, alkalosis, heat, increased 2,3 DPG
Right: adult HgB, acidosis, cool, decreased 2,3 DPG
Ballard Exam - ANSWER for gestational age
assessment of passive flexor tone via
- passive flexion
- resistance to passive flexion
- angles of recoil
physical assessment
- skin texture
- lanugo
- plantar surfaces creases (appear from 28 weeks-term)
,- breast
- ear/eyes ( eyes fuse @ 23 wks, open btwn 26-28 wks)
- genitals
Bradykinin - ANSWER a potent vasodilator that increases capillary permeability and
smooth muscle constriction
Ortolani maneuver (checks if OUT) - ANSWER check hips for congenital dislocation,
done till 1 yr old, should be smooth w/ no sounds
, abnormal= feels like a clunk as head of femur pops back into place - positive ortolani
sign
Transposition of Great Vessels (shows thin mediastinum on CXR ("egg on string"))
Snow storm CXR? -lots of fluid, total anomalous venous return
DiGeorge is associated with? Truncus arteriosis.
Tricuspid Atresia
Ampicillin - ANSWER A penicillin that is effective against gram-negative and
gram-positive bacteria
Gentamicin - ANSWER Aminoglycoside prototype: bactericidal inhibitor of protein
synthesis (30S); active against many aerobic gram−negative bacteria. Narrow
therapeutic window; dose reduction required in renal impairment. Tox: renal
dysfunction, ototoxicity; once−daily dosing is effective (post−antibiotic effect) and less
toxic
Gentamicin levels - ANSWER Trough < 2
Peak 5-12
, Vancomycin levels - ANSWER Trough <10
Peak 20-40
Cefotaxime - ANSWER 3rd generation cephalosporin
Pharmacokinetics - ANSWER the study of drug movement throughout the body (ADME)
Pharmacodynamics - ANSWER The study of what the drug does to the body
Volume of distribution - ANSWER Vd = (amount of drug in the body) / (plasma drug
concentration)
Thrombocytopenia - ANSWER low platelet count
Neonatal Alloimmune Thrombocytopenia - ANSWER Mom becomes alloimmunized
against paternal antibodies on infant platelets leading to low platelets, maternal
platelets normal- give maternal platelets to baby
Neonatal autoimmune thrombocytopenia - ANSWER Maternal condition (SLE) causes
low platelets in mom and baby - give steroids
IL-1 - ANSWER -Secreted by macrophages
-Also called osteoclast-activating factor. Causes fever, acute inflammation.
-Activates endothelium to express adhesion molecules.
-Induces chemokine secretion to recruit WBCs.
TNF- ANSWER Produced by macrophages. Mediates septic shock. Leukocyte
recruitment, vascular leak.
Correct Answers
Barlow maneuver- ANSWER newborn hip evaluation-adduction of hip-examines for
congenital dislocation, dislocates head of femur
Fractional Excretion of Sodium (FENa)- ANSWER (urine Na * serum Cr) / (serum Na *
urine Cr) * 100
endocardial cushion defect- ANSWER Anomaly in the walls between all four chambers
of the heart. This anomaly is associated with Down syndrome. Separates atria and
ventricles
Tetralogy of Fallot - ANSWER congenital malformation involving four (tetra-) distinct
heart defects:
Overriding aorta
VSD
Pulmonary stenosis
RV hypertrophy
**Cyanosis depends on degree of PS
5 T's of Cyanotic Heart Disease - ANSWER TOF (VSD, pulmonic stenosis, overriding
aorta, R. Ventricle hypertrophy)
WBC count - ANSWER 5,000-10,000
ANC - ANSWER 1500-8000
<1500- neutropenic
,Amphotericin B - ANSWER Antifungal for candida sepsis
Flucystosine - ANSWER Analog of the nucleotide cytosine
May be used to treat certain cutaneous mycoses
Usually used in combination with amphotericin B for CNS infection.
Fanconi anemia - ANSWER FANCA, B, C, D2, E, F, G Mostly Ar but some X-linked
short stature, abnl pigmentation,, AML, tumors of head and neck, radial polydactyly
Cafe au lait spots
oxyhemoglobin dissociation curve - ANSWER Relationship between available oxygen
and amount of oxygen carried by hemoglobin.
Left: fetal HgB, alkalosis, heat, increased 2,3 DPG
Right: adult HgB, acidosis, cool, decreased 2,3 DPG
Ballard Exam - ANSWER for gestational age
assessment of passive flexor tone via
- passive flexion
- resistance to passive flexion
- angles of recoil
physical assessment
- skin texture
- lanugo
- plantar surfaces creases (appear from 28 weeks-term)
,- breast
- ear/eyes ( eyes fuse @ 23 wks, open btwn 26-28 wks)
- genitals
Bradykinin - ANSWER a potent vasodilator that increases capillary permeability and
smooth muscle constriction
Ortolani maneuver (checks if OUT) - ANSWER check hips for congenital dislocation,
done till 1 yr old, should be smooth w/ no sounds
, abnormal= feels like a clunk as head of femur pops back into place - positive ortolani
sign
Transposition of Great Vessels (shows thin mediastinum on CXR ("egg on string"))
Snow storm CXR? -lots of fluid, total anomalous venous return
DiGeorge is associated with? Truncus arteriosis.
Tricuspid Atresia
Ampicillin - ANSWER A penicillin that is effective against gram-negative and
gram-positive bacteria
Gentamicin - ANSWER Aminoglycoside prototype: bactericidal inhibitor of protein
synthesis (30S); active against many aerobic gram−negative bacteria. Narrow
therapeutic window; dose reduction required in renal impairment. Tox: renal
dysfunction, ototoxicity; once−daily dosing is effective (post−antibiotic effect) and less
toxic
Gentamicin levels - ANSWER Trough < 2
Peak 5-12
, Vancomycin levels - ANSWER Trough <10
Peak 20-40
Cefotaxime - ANSWER 3rd generation cephalosporin
Pharmacokinetics - ANSWER the study of drug movement throughout the body (ADME)
Pharmacodynamics - ANSWER The study of what the drug does to the body
Volume of distribution - ANSWER Vd = (amount of drug in the body) / (plasma drug
concentration)
Thrombocytopenia - ANSWER low platelet count
Neonatal Alloimmune Thrombocytopenia - ANSWER Mom becomes alloimmunized
against paternal antibodies on infant platelets leading to low platelets, maternal
platelets normal- give maternal platelets to baby
Neonatal autoimmune thrombocytopenia - ANSWER Maternal condition (SLE) causes
low platelets in mom and baby - give steroids
IL-1 - ANSWER -Secreted by macrophages
-Also called osteoclast-activating factor. Causes fever, acute inflammation.
-Activates endothelium to express adhesion molecules.
-Induces chemokine secretion to recruit WBCs.
TNF- ANSWER Produced by macrophages. Mediates septic shock. Leukocyte
recruitment, vascular leak.
